Cortisol, chronotype, and coping styles as determinants of tolerance of nursing staff to rotating shift work.
In: Chronobiology international, Jg. 38 (2021-05-01), Heft 5, S. 666-680
academicJournal
Zugriff:
Hypothalamo-pituitary-adrenal axis activity and cortisol patterns are likely to play a role in shift work tolerance, i.e., ability to adapt to shift work without suffering stress-related consequences. Yet, the evidence is scanty. Here, salivary cortisol output during night shifts and leisure days was assessed in fast-forward rotating shift work nursing staff ( N = 30), and possible links with a series of variables - gender (30% male), age ( M = 39.6, SEM = 1.57 y), years of service ( M = 12.43, SEM = 1.48 y), BMI ( M = 23.29, SEM = 0.66 Kg/m 2 ), self-rated chronotype, sleep quality, and psycho-behavioral factors - were investigated. Main results show that cortisol output during night shifts: i) is larger in morning-oriented chronotypes, thus affected by the circadian misalignment between biological and working rhythms; ii) associates with dysfunctional coping styles at work; iii) positively correlates with diurnal cortisol secretion on leisure days, i.e., individuals with larger cortisol output during shifts display higher cortisol secretion on non-working days. Chronotype and psycho-behavioral factors explain most of the correlational weight linking cortisol output during the night shift and off-days. In conclusion, we confirm salivary cortisol testing as a suitable objective marker of occupational stress and propose it as a valuable index for monitoring shift work tolerance, in combination with chronotype. Moreover, we emphasize the importance of evaluating psycho-behavioral factors in professional settings, because these modifiable variables can be addressed with tailored psychological interventions to ameliorate poor job satisfaction, reduce work-related distress, and avoid chronic cortisol excess experienced by shift workers.
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Cortisol, chronotype, and coping styles as determinants of tolerance of nursing staff to rotating shift work.
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Autor/in / Beteiligte Person: | Minelli, A ; Di Palma, M ; Rocchi, MBL ; Ponzio, E ; Barbadoro, P ; Bracci, M ; Pelusi, G ; Prospero, E |
Zeitschrift: | Chronobiology international, Jg. 38 (2021-05-01), Heft 5, S. 666-680 |
Veröffentlichung: | London : Informa Healthcare ; <i>Original Publication</i>: Oxford ; New York : Pergamon Press, c1984-, 2021 |
Medientyp: | academicJournal |
ISSN: | 1525-6073 (electronic) |
DOI: | 10.1080/07420528.2021.1887883 |
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